European Journal of Cardiovascular Nursing http://cnu.sagepub.com/
EuroHeartCare 2014 Eur J Cardiovasc Nurs 2014 13: S1 DOI: 10.1177/1474515114521363 The online version of this article can be found at: http://cnu.sagepub.com/content/13/1_suppl/S1
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EUROPEAN SOCIETY OF CARDIOLOGY ®
European Journal of Cardiovascular Nursing 2014, Vol. 13(S1) S1–S91 © The European Society of Cardiology 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1474515114521363 cnu.sagepub.com
Moderated Posters 1 Ischaemic heart disease Friday, 04 April 2014 - 10:00 - 11:00 P6 Quality and clinical influence of including pocketsize ultrasound in a nurse-led outpatient heart failure clinic for monitoring of volume status. A randomized controlled study with cross-over design. G H Gundersen,1 T M Norekval,2 T Graven,1 H H Haug,1 O Kleinau,1 K Skjetne1 and H Dalen1 1Levanger
Hospital, Levanger, Norway 2Institute of Nursing, Faculty of Health and Social Science, Bergen University College, Bergen, Norway
Purpose: Follow-up in outpatient heart failure (HF) clinics reduce length of hospital stay, readmissions and mortality. Assessment of the pleural cavity and the inferior vena cava by ultrasound, may have clinical impact in heart failure patients as it is suitable to detect HF decompensation as well to hypovolemia. Thus, we aimed to study the quality and clinical influence of nurse performed ultrasound examinations in a nurse-led outpatient HF clinic. Methods: Patients referred to a non-university outpatient HF clinic were included prospectively. Applying a crossover design, all patients underwent laboratory testing, history taking and clinical examination by two specialized nurses. In a random order one of the nurses performed the pocket-size ultrasound examination of the pleural cavity and inferior vena cava as an adjunct to the clinical examination, to assess volume status. For quality control the reference echocardiographic examination was performed by the cardiologist randomized to collaborate with the nurse who did the pocket-size examination. Thus, all examinations were validated. Results: Sixty-two patients were included, 30 (48%) women, 26 (42%) had ejection fraction < 30%. Mean (SD) age was 74 (12) years, body mass index 28.3 (5.5) kg/m2, NYHA class 2.4 (0.6), eGFR 34 (15) ml/min/1.73m2, and NT-proBNP 3761 (3072) ng/l. Time spent on the nurse performed ultrasound examination was 6 minutes (median).
The ultrasound nurses completed the examinations in all patients (100%). Correlations of ultrasound measurements performed by the nurses with measurements by the cardiologists were r = 0.89 and r≥0.95, all p